{"title":"初级保健阿片类药物使用障碍治疗的临床冠军","authors":"Meaghan Mugleston, Denise Ogorek, Anina Terry","doi":"10.1016/j.nurpra.2025.105434","DOIUrl":null,"url":null,"abstract":"<div><div>Programs that coach primary care providers, particularly nurse practitioners, to prescribe buprenorphine for opioid use disorder (OUD) may aid in reducing treatment shortages. This program evaluation explored the impact a buprenorphine clinical champion (CC) had on provider prescribing behaviors, and attitudes toward OUD treatment. Deidentified data reports measured buprenorphine prescribing, and a survey investigated provider perceptions. Prescribing rates increased significantly from 43% to 62% (<em>P</em> < .0001). Satisfaction with the CC was strongly associated with OUD management self-efficacy among new prescribers (<em>P</em> = .002). CC programs may improve provider engagement in OUD treatment in primary care settings.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 7","pages":"Article 105434"},"PeriodicalIF":0.0000,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Clinical Champions in Primary Care Opioid Use Disorder Treatment\",\"authors\":\"Meaghan Mugleston, Denise Ogorek, Anina Terry\",\"doi\":\"10.1016/j.nurpra.2025.105434\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Programs that coach primary care providers, particularly nurse practitioners, to prescribe buprenorphine for opioid use disorder (OUD) may aid in reducing treatment shortages. This program evaluation explored the impact a buprenorphine clinical champion (CC) had on provider prescribing behaviors, and attitudes toward OUD treatment. Deidentified data reports measured buprenorphine prescribing, and a survey investigated provider perceptions. Prescribing rates increased significantly from 43% to 62% (<em>P</em> < .0001). Satisfaction with the CC was strongly associated with OUD management self-efficacy among new prescribers (<em>P</em> = .002). CC programs may improve provider engagement in OUD treatment in primary care settings.</div></div>\",\"PeriodicalId\":101233,\"journal\":{\"name\":\"The Journal for Nurse Practitioners\",\"volume\":\"21 7\",\"pages\":\"Article 105434\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-06-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The Journal for Nurse Practitioners\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1555415525001175\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Journal for Nurse Practitioners","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1555415525001175","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Clinical Champions in Primary Care Opioid Use Disorder Treatment
Programs that coach primary care providers, particularly nurse practitioners, to prescribe buprenorphine for opioid use disorder (OUD) may aid in reducing treatment shortages. This program evaluation explored the impact a buprenorphine clinical champion (CC) had on provider prescribing behaviors, and attitudes toward OUD treatment. Deidentified data reports measured buprenorphine prescribing, and a survey investigated provider perceptions. Prescribing rates increased significantly from 43% to 62% (P < .0001). Satisfaction with the CC was strongly associated with OUD management self-efficacy among new prescribers (P = .002). CC programs may improve provider engagement in OUD treatment in primary care settings.